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College aantekeningen Lecture 6 tm 10 Klinische Lessen (P_BKLINLES) $8.06
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College aantekeningen Lecture 6 tm 10 Klinische Lessen (P_BKLINLES)

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Aantekeningen van hoorcolleges 6 tot en met 10 van het vak klinische lessen van de bachelor psychologie Delier, depressie, eating disorders, persoonlijkheidsstoornissen,dementie hoorcollege over eating disorders was in het engels gegeven.

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  • October 11, 2024
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  • College 6 tm 10
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Klinische Lessen Lecture 6 – Eating Disorders
Types of eating disorders

 Anorexia nervosa
 Bulimia nervosa
 Binge eating disorder
 Otherwise specified feeding or eating disorder OSFED
 Avoidant-restrictive food intake disorder ARFID
 Unspecified feeding or eating disorder
 Pica
 Rumination disorder




Recognizing an eating disorder

What is binge eating?

 Eating a large amount of food in a short period
 Feeling a lack of control during the episode (e.g. you can not stop eating or you
can not control how much you are eating)
 Associated with eating:
o Much more rapidly than normal
o Until feeling uncomfortable full
o Large amounts of food when not feeling physically hungry
o Alone because of feeling embarrassed by how much one is eating
o Feeling disgusted with oneself, depressed, or very guilty afterward
 Marked distress around bingeing is present

DSM-V criteria for binge eating disorder

 Recurrent episodes of binge eating
 Self-evaluation is unduly influenced by body shape and weight
 binge eating occurs 1 time per week for 3 months
 No compensatory behaviors after binge eating

Severity based on frequency: 1-3 mild. > 15 extremes.



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, Bulimia also involves binge eating but there is compensation behavior. Binge eating
disorder does not have compensation behavior.
DSM-5 criteria for bulimia nervosa

 Recurrent episodes of binge eating
 Recurrent compensatory behavior such as self induced vomiting, laxatives misuse,
diuretics, fat burners/diet pills, fasting, or excessive esercise
 The binge eating and inappropriate compensatory behavior occur 1 time per week
for 3 months.
 Self-evaluation is unduly influenced by body shape and weight.
 Binge eating or purging does not occur exclusively during episodes of behavior
that would be common in those with anorexia nervosa
o Severity based on B/P frequency: 1-3 mild, > 14 extreme

DSM-5 Criteria for anoresia nervosa

 Severe restriction of energy (food) intake leading to a significantly low body
weight
 Intese fear of gaining weight or becoming fat, even when significantly
underweight
 Disturbance about body weight, or shape, over-evaluation, or denial of the
seriousness of current low body weight
o Subtypes: restrictive (there is no binging) or Binge / Purge
o Severity based on BMI > 17 mild. <15 Extreme



Otherwise, specified feeding or eating disorder OSFED

Symptoms of an eating causing clinically significant distress or impairment in social,
occupational, or other important areas of life, but the presentation does not meet the
criteria for any specific feeding and eating disorder

Example: other specified feeding or eating disorders, most like anorexia nervosa.



Avoidant restrictive food intake disorder ARFID

Inability to meet nutritional and/or energy needs associated with weight loss, nutritional
deficiency, dependency on external feeding or dietary supplements, interference with
psychosocial functioning

No evidence of body weight or shape concern

Characterized by:

 Lack of interest in eating or food
 Avoidance due to sensory sensitivity to food

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